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Tubal Reversal Versus Invocell-Self IVF


 Tubal Reversal Surgery or “Self IVF” with Invocell

Self IVF with Invocell has many advantages over Tubal Reversal


Many couples call us with the dilemma of whether to undergo a tubal reversal surgery or go straight to IVF. We believe we have an excellent option for you in “Self IVF” which utilizes the Invocell device. This device has reduced the cost of IVF by thousands of dollars. Now the cost of IVF is nearly the same as having a tubal reversal. Imagine that.

How does it work?

During an Invocell cycle you are stimulated like you would during an IVF cycle but less aggressively with medications. You undergo an egg retrieval just like in IVF. After the eggs are removed they are loaded into the Invocell device and then you carry it in the vagina safely and soundly for the allotted number of days. When you return to the clinic the device is removed from the vagina, opened in the lab, and then an embryo or embryos are transferred to the uterus as they would with IVF. Any extra embryos may be frozen for future pregnancy. The Self IVF program minimizes the amount of medication you need to use and the number of days you miss from work. The Invocell device, minimizes the cost of utilizing the laboratory and staff and that dramatically brings down the cost of IVF.

Does the Invocell device work well? Reports have shown that the success rates are the same as traditional forms of IVF for patients who have undergone tubal ligation.

So why is Invocell better than a tubal reversal?

  • With Self IVF you will only be required to take one day off from work, on the day of the retrieval. You will have three other office appointments in total during the process. Tubal reversal is performed through a small C-section scar that will limit your activity so you will miss 14 days of work at the very minimum if not longer.
  • Self IVF with Invocell allows you achieve your pregnancy faster. After tubal reversal you may not know if the process has worked for a year or more. At Fertility Partnership we perform a hysterosalpingogram or dye test and demonstrate that we have at least one tube open. However, we would not declare the process a failure unless another year goes by with no pregnancy. With Self IVF with Invocell you will know if you are pregnant within two weeks.
  • The tubal reversal is far more uncomfortable than Self IVF with Invocell. The C-section scar from tubal reversal, although it’s smaller than a traditional C-section, still hurts a lot more than whatever you go through with Self IVF.

Some people thinking they may want more than just one more child and therefore would prefer a tubal reversal. On the other hand, Self IVF with Invocell may provide extra embryos that can be frozen for later pregnancy.


The total cost of Self IVF with Invocell, including medications, is less than $7500.

I guess for many it just boils down to the cost. At this time, tubal reversal costs proximally $6000. Self IVF with Invocell is less than $7500, including medications!  For some it is important to get the pregnancy going as soon as possible. In that case, it’s Self IVF with Invocell hands down. If you can’t miss work then go with the Self IVF. If you don’t do well with pain, Self IVF with Invocell will Be much less painful than an incision on your abdomen.

So why go to a surgeon who operates on you for a few hours and you really don’t know what was done or not done. You don’t even know what your tubes look like as you recuperate with pain over a few weeks. Many surgeons don’t even perform a dye test or hysterosalpingogram  so you are left wondering if they are open. You are told to go home and “try” for a year. With Self IVF with Invocell you will know what is happening and get your results in a far more timely fashion.

To us it seems pretty straightforward which way to go. If you’d like more information than call our fertility clinic at 636-441-7770.


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30 Responses
  1. Samantha Pritchard

    My husband and I went to have a baby together but I can’t because I had my tubes cut tied and brunerd we went to do the Ivf with invocell I am in Gering Nebraska 69341 you can get a hold of me at (308)641-3232

    1. Dr. Elan Simckes

      I’m sorry to seeing your comment today. Have you called us yet? If not then please respond directly to the website and leave a message on our phone at 636-441-7770. You are exactly the kind of candidate we are looking for to use the Invocell. I still need to know what your egg reserve is and be sure your husband’s sperm count is okay.

    1. Dr. Elan Simckes

      Charity, do you mean uterine ablation? Was the “cervical ablation” for HPV?
      If it is not a uterine ablation then yes, Invocell would be a good choice.
      We would need to know your egg reserve.

  2. Charline White

    Is it $7000 for one try? I think the TR is enticing for those of us who don’t have $ to keep paying for each IVF attempt.

    Also, do you all accept Care Credit? Or something similar? Sorry if these answers are addressed on your site already. 😀 I got excited when I saw it.

  3. Janet

    This sounds like regular IVF there is no guarantee this will work if you have a low ovarian reserve you would still have to use donor eggs right?

    1. Dr. Elan Simckes

      Well Janet, unfortunately nothing that we do is guaranteed. I’m not sure I would want to use this for low ovarian reserve cases. There is a program in South Carolina that actually prefers to use the Invocell in low egg reserve cases. That way they don’t spend as much in order to find out the truth… They need donor eggs. My thought would be with low ovarian reserve cases to aggressively collect eggs and then monitor their fertilization with traditional IVF. But, if you wanted to try I would not stop you.

    1. Dr. Elan Simckes

      Yolanda, we would prefer to do traditional IVF however if you wanted to do the cycle with the device we would ask you pay for ICSI which is an additional $500.

  4. Stephanie

    I have a history of ectopic pregnancies so now both of my tubes are removed. Im turning 30 this novemeber and looking to do something like this intead of traditional ivf which cost a fortune

    1. April,
      Yes IVF would work for you. Our base price at the moment is $7000 for the procedures but it doesn’t include medications or labs. Your total cost will range around 12-15K. Our new pt. consultation is $350 or your specialist copay. Please call our office at 636-441-7770 to make your appointment. Thank you for contacting Fertility Partnership!
      Amy Fischer
      Office Manager

  5. Samantha Sindledecker

    How do you know if it actually works? Isnt the point in tubal ligation for the egg not to pass thru the fallopian tube?! How does this work? Im 27 have had my tubes cut and tied for almost 5 years… Now me and my fiance want to have a baby together. So curious on how it actually works

    1. Dr. Elan Simckes

      Samantha, I apologize for not responding to your message. I have been neglectful checking these comments. We do not need the tubes for IVF.
      We take the eggs directly from your ovaries and sperm from the man and make embryos and put them in through the Regina. The tubes are not needed. It is easy to do

  6. Kyle

    Hey Doc,

    How much does age play a part on success? My fiance and I are in our late 30’s. She’s about to turn 38 in Feb 2019. She had cauterized tubular ligation about 11 years ago and had complications about 4 years after so they did a reversal. She had 4 kids prior to the procedure. Is it still possible to do IVF or is it not likely to be successful?

    1. Dr. Elan Simckes

      Sorry about the delay in my response. I’ve been neglectful checking these comments. She is most definitely a candidate for IVF.. We offer this at a lower cost and higher success rate. Don’t ask me why

  7. Crystal

    Hi I had a tubal ligation and also the ablation, but the ablation didn’t work. Would me having attempted the ablation keep me from being a candidate for Self IVF?

    1. Dr. Elan Simckes

      Crystal, usually it would. Very few doctors are willing to do an embryo transfer after ablation. I have done it just this past month and am awaiting results. Criteria would be I do a hysteroscopy make sure there are no adhesions. Also your lighting would need to measure at least 8 to 10 mm in midcycle. If you are interested then you must come and see me please preferably midcycle.

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